European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582 S575
patient’s inability to govern his person and property were made.
Themost common pathology underlying this cognitive impairment
was dementia (57%).
Conclusion Our results reflect the aging of Portuguese population
and the increased prevalence of dementia. The evaluation of the
capacity for self-governance will be increasingly required in our
clinical practice and demands a holistic approach to the patient
while taking into account the preservation of his autonomy, dignity
and rights.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0524
Epidemiology of depression in
Azerbaijani urban female population.
Cross-cultural comparison of
depression incidence/prevalence
indicators
F. Mammadova ∗, M. Sultanov , A. Hajiyeva , M. Aichberger ,
A. Heinz
1 Central Hospital of Oil Workers, Psychiatry Liason, Baku, Azerbaijan
2 Republic Psychiatry Hospital, general, Baku, Azerbaijan
3 Republic Diagnostic Centre, outpatient, Baku, Azerbaijan
4 Charité Universitätsmedizin Berlin- Campus Charité Mitte,
psychiatry, Berlin, Germany
∗ Corresponding author.
Introduction The aim is to determine the prevalence and inci-
dence of depression for an Azerbaijani female sample and explore
the impact of cultural factors on depression.
Objectives To determine: the optimal cut-off point of ZDRS; the
point prevalence and 3month incidence of depression; risk fac-
tors for depression. To compare the depression prevalence in the
two language groups of the Azerbaijani population (Azerbaijani-
speaking and Russian-speaking) for determining possible impact
of cultural factors on depression.
Methods The first screening with ZDRS (Az) and ZDRS (Ru) were
carried out with 1500 research participants, who filled out the
questionnaires at their homes. All the screened subjects who
score 40 and more on ZDRS were examined by MINI. True-
positive and false-positive results were defined. Ten percent of
the screened subjects, who score less than 40 on ZDRS were
randomly chosen for clinical interviews to define true-negative
and false-negative results. According to the analysis the opti-
mal cut-off point of ZDRS in the Azerbaijani female population
was found with the definition of its sensitivity, specificity, pos-
itive predictive value and negative predictive value. Based on
the optimal cut-off point of ZDRS, point prevalence and inci-
dence of depression was determined in Azerbaijan. The follow-up
screening was conducted to determine the 3month incidence of
depression.
Results The determined prevalence and incidence of depression
will be reported with the optimal cut-off point of ZDRS.
Conclusions The results of the current study suggested that the
ZDRS was a valid tool for use in screening patients with depression
disorders but need a modification.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0525
Social stigma and disclosure of
diagnosis among women with breast
cancer in Azerbaijan
G. Mammadzada
Azerbaijan Medical University, Boston Children’s Hospital, Harvard
Medical School, Department of Developmental Medicine, Baku,
Azerbaijan
Objective The current practice in medical and surgical care of
women with breast cancer in Azerbaijan is to hold back disclosure
of cancer diagnosis unless the patient actively asserts full disclo-
sure. This study aimed to serve as a pilot, to appraise the level of
anxiety and depression in women diagnosed with breast cancer
and explore ways to develop approaches to further elucidating the
important issue of cancer information disclosure.
Methods The subjects in the study were women recruited con-
secutively with confirmed oncological diagnosis of breast cancer
(n = 23; mean age = 50 (SD ±11; range 27–73 years) and who were
scheduled for mastectomy. All the subjects consented to be directly
interviewed. The interview comprised of a socio-demographic
questionnaire and inquiry regarding the subjects’ understanding
of the nature of their breast condition. All the subjects were also
administered the Hospital Anxiety and Depression Scale (HADS) in
Azerbaijani. The patients who knew their diagnosis of cancer were
ascertained subsequently from the record (n = 11 [42.3%]).
Results There was a significant correlation between anxi-
ety scores (P = 0.006) and anxiety/depression scores combined
(P = 0.009) with the level of subjects’ awareness regarding diagnosis
of cancer; the correlation was not significant for depression scores
alone (P = 0.068).
Conclusions The findings are consistent with studies from cul-
turally similar regions and reflect the need for improvement on
disclosure, patient participation, and family support in treatment
of women with breast cancer.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0526
Increased prevalence of psychosis in
patients who get admitted with atrial
fibrillation with worse outcomes
Z. Mansuri ∗, S. Patel , P. Patel , O. Jayeola , A. Das , J. Shah ,
M.H. Gul , K. Karnik , A. Ganti , K. Shah
1 Texas Tech University Health Sciences Center Permian Basin
Campus, Psychiatry, Odessa, USA
2 Icahn School of Medicine at Mount Sinai, Public Health, NY, USA
3 Windsor University School of Medicine, Public Health, Monee, USA
4 Drexel University School of Public Health, Public Health,
Philadelphia, USA
5 Florida Hospital, Internal Medicine, Orlando, USA
6 Pramukhswami Medical College, Internal Medicine, Karamsad, India
7 St. Louis University Hospital, Nephrology, St. Louis, USA
8 Children’s Hospital of San Antonio, Public Health, San Antonio, USA
9 Suburban Medical Center, Internal Medicine, Schaumburg, USA
10 Kentucky University, Public Health, Bowling Green, USA
∗ Corresponding author.
Objective To determine trends and impact on outcomes of atrial
fibrillation (AF) in patients with pre-existing psychosis.
Background While post-AF psychosis has been extensively stud-
ied, contemporary studies including temporal trends on the impact
of pre-AF psychosis on AF and post-AF outcomes are largely lacking.
Methods We used Nationwide Inpatient Sample (NIS) from
the healthcare cost and utilization project (HCUP) from year’s
2002–2012. We identified AF and psychosis as primary and
secondary diagnosis respectively using validated international
classification of diseases, 9th revision, and Clinical Modification
(ICD-9-CM) codes, and used Cochrane–Armitage trend test and
multivariate regression to generate adjusted odds ratios (aOR).
Results We analyzed total of 3.887.827AF hospital admissions
from 2002–2012 of which 1.76% had psychosis. Proportion of